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HomeMy WebLinkAboutPermit M95-0130 - KENWORTH TRUCK COMPANYS •Rr t, w vioTa. TRocA CD. ��x,pi real City of Tukwila (206) 431 -3670 Community Development / Public Works • 6300 Southcenter Boulevard, Suite 100 • Tukwila, Washington 98188 MECHANICAL PERMIT Permit No: M95 -0130 Type: B- MECHAN Category: NRES Address: 8801 EAST MARGINAL WY S Location: Parcel #: 542260 -0060 Contractor License No: TENANT KENWORTH TRUCK COMPANY 8801 E MARGINAL WY S, TUKWILA WA 98188 OWNER KENWORTH MOTOR CORP 8801 E MARGINAL WAY, SEATTLE WA 98108 CONTRACTOR ARGO BLOWER 5400 E MARGINAL WY S, SEATTLE:VA 98134 CONTACT DAVE SETERA 5400 EAARGINAL WY:S,.SEATTLE WA 98134 Status: ISSUED Issued: 09/08/1995 Expires: 03/06/1996 Suite: Phone: 762 -9336 Phone: 762 -9336 *****************************•*************** * * * * * * * ** * * * * * * * * * * * * * * * * * * * ** Permit Description: MODIFY EXISTING PREP BOOTH INTO A BLOW & TACK BOOTJI. ; HARTFELL;'31- 24 -WK3 (2) .3 .HP 10,900 CFM @ 0 ". UMC Edition: 1994 Valuation:' 38,000.00 Total Permit Fee: 39.38 * * * * * **, *k * * ** * * * *`k* * ** ******, k* �C*i k**** ***** k * * * * * ** ** * * * * ** ** * *lk* * * ** * * ** Permit. Center. Authorized Signature Date I hereby certify that 1-'have:read and examined this permit and know the same to. be true': and correct. All provisions- of .:law and ordinances governing this' work will be complied with,' whether specified herein or not The granting 'of `this permit does not presume '.to give authority, to violate or cancel't,he provisions of any other state. or local laws regulating construction, or the performance of: Work. ° .I`', am authorized to sign for and obtain this.building'permi Signature: Print Name: t/. S 1i- Date: er-Ir Title: .U4-/CJ This permit shall become - nut 1,.and..voi,d if:., the work is not commenced within 180 days from the date of issuancer.::.if the work is suspended or abandoned for a period of 180 days from the last inspection. . CITY OF TUKWI -I Department of Community Development — Permit Center 6300 Southcenter Boulevard - #100, Tukwila, WA 98188 (206) 431 -3670 Mechanical Permit Application Tracking PLAN CHECK NUMBER EfF0i30 PROJECT NAME � ...-,s CONTACTED K 11 t0�►� 1 k\XC.k. 00 . r lw� SITE ADDRESS %5 +— q5 BY: nit.) \ SUITE NO. S? O\ E- 1\40111\li4 -- v1/41`( S INSTRUCTIONS TO STAFF • Contacts with applicants or requests for information should be summarized in writing by staff so that the status of the project may be ascertained at any time. • Plan corrections shall be completed and approved prior to sending to the next department. • Any conditions or requirements for the permit shall be noted in the Sierra system or summarized concisely in the form of a formal letter or memo, which will be attached to the permit. • Please fill out your section of the tracking chart completely. Where information requested is not applicable, so note by using "N /A ", date and initial. DEPARTMENTAL REVIEW "X" in box indicates which departments need to review the project. DEPARTMEN' TEA PROVE UIREMENTS / ::COMK/EN' 11: BUILDING - initial review (� -FIRE 1512-Sk ( OUTED) / - 1)TC NSULTANT: Date Sent Date Approved INIT: 4'- , FIRE PROTECTION: Sprinklers Detectors ❑N/A FIRE DEPT. LETTER DATED: �/,). y/ y, INSPECTOR: 37/ O PLANNING INIT: ZONING: 1BAR/LAND USE CONDITIONS? SCREENING REQUIRED? O Yes 0 No 0 Yes U N REFERENCE FILE NOS.: 0 OTHER INIT: BUILDING - final review 1 ►: UILDING OFFICIAL INIT: INIT. UMC EDITION (year): 3 I f L»»; REVIEW COMPLETED AMOUNT OWING: 41,1 ...-,s CONTACTED r lw� DATE NOTIFIED %5 +— q5 BY: nit.) \ 2nd NOTIFICATION BY: (init.) 3RD NOTIFICATION BY: (init.) 01/07/93 CITY OF TUKWILA Department of Community Development - Building Division 6200 Southcenter Boulevard, Tukwila WA 98188 (206) 433 -1849 MECHAI"CAL PERMIT APPLICATION Mechanical Fee Worksheet must also be filled out and attached to this application PLAN CHECK NI\ c NUMBER o 13o APPLICATION MUST BE FILLED OUT COMPLETELY FEES (for staff use only) BASIC PERMIT FEE UNIT(S) FEE PLAN CHECK FEE QTHER: TOTAL - 'ITE ADDRESS SUITE # C <:,l I L irl'7ULc,I v4L 1. ✓/4 `i VALUE OF CONSTRUCTION - $ _j `'),1'C >C2 PROJECT NAME/TENANT :. _'i- 1,1 6, c 1 L 1i 11 -1 ILL-T..4_ (.:.... c, . TYPE OF WORK: 0 New /Addition p Modifications 0 Repair 0 Other: DESCRIBE WORK TO BE DONE: ,......,, Ii)vOiF -- CXiii ILIC,- f'IZi::_r rscr.cs7_t1 11�11c.> `I L—c,i,,, 77ti.ic, 74c_,L- CI( // TYPE .; . < :.. ;' RATiNG/$SIZt . > ::: ; '.NUMBER OF UNITS : ... . 11 /1n-1 ■ ;i:L.L." - 3 - - - 2 ) - 1 - 1 , , k _3 1=.-tn, 71417 1Cli- -v i.,,,. t, LA.. 2. ZIPc.-�` /C`., .; CONTRACTOR it ,, L ." is < ,_ , , �, r_2 BUILDING USE (office, warehouse, etc.) T 1z-i,,-c_{_. 1 -,;.fc.Y (L- !-i(L%i - , NATURE OF BUSINESS: / 1,7_..t.) Lk (1.1,'1 ,--c c_, (7,11_ 1 ‘,-, i L ,C i WILL THERE BE A CHANGE IN USE? t No 0 Yes IF YES, EXPLAIN: WILL THERE BE STORAGE OR USE OF FLAMMABLE, COMBUSTIBLE OR HAZARDOUS MATERIALS IN THE BUILDING? 0 No aYes IF YES, EXPLAIN: <)% 1' .i_0- -,t ,--//1- t- 1/..),1 . tl-A ,'1 ,s.( ::ii rLC-i ,L.,..) ", f1L L,,,, , <1i.,,% PROPERTY OWNER -I. ) (PHONE ,z,,? _. ,},,1 L 7 ADDRESS -;.,cc,( F -- 1:I /1I? C.,1.,1 'l,. I„i /)`(" 5 ZIPc.-�` /C`., .; CONTRACTOR it ,, L ." is < ,_ , , �, r_2 PHONE (. - ADDRESS .'.`!1: -/ :' (- ,J'. '7[ 61'u < 7L. L -`/1Li- c1 "'/)17c. ;.:. ZIPci ''.3-/ :i/ WA. ST. CONTRACTOR'S LICENSE # ;') v [, C 13 Ill - .1. L.1 2 / -. c. EXP. DATE Li -Li .. `i L:' ARCHITECT PHONE ADDRESS ZIP HEREBY: CERTIFY• THAT :I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW TWE SAME TO BE • TRUE. AND CORRECT,: AND 1 AM!AUTHORIZED: TO APPLY<:FOR THIS.:P,ERMIT... ... BUILDING OWNER OR AUTHORIZED AGENT SIGNATURE DATE , - PRINT NAME r i2 /1..= j ADDRESS rL-, PHONE CITY /ZIP CONTACT PERSON V .. , i r. /1 PHONE -r 7 L (' 2 - APPLICATION SUBMITTAL In order to ensure that your application is accepted for plan review, please make sure to fill out the application completely and follow the plan submittal checklist on the reverse side of this form. A completed "Mechanical Permit Fee Worksheet" must accompany this permit application. Handouts are available at the Building counter which provide mote datailud Infounatioii on applicaiioh and plan submittal requirements. Application and olans must be complete In order to be accented for plan review. BUILDING OWNER / AUTHORIZED AGENT If the applicant Is other than the owner, registered architect/engineer, or contractor licensed by the State of Washington, a notarized letter from the property owner authorizing the agent to submit this permit application and obtain the permit will be required as part of this submittal. VALUATION OF CONSTRUCTION The valuation is for the work covered by this permit and must be filled in by the applicant. This figure is used for budget reporting purposes only and not to calculate your fees. EXPIRATION OF PLAN REVIEW Applications for which no permit is issued within 180 days following the date of application shall expire by limitation. The Building Official may extend the time for action by the applicant for a period not exceeding 180 days upon written request by the applicant as defined in Section 304(d) of the Uniform Mechanical Code (current edition). No application shall be extended more than once. It you have any questions about our process or plan submittal requirements, please contact the (, Community Development at 433 -1849. DATE APPLICATION ACCEPTED DATE APPLICATION EXPIRES c(c.- 11 —615 AUG 1 7 1995 PERMIT CENTER 03/29 MECHANiJAL PERMIT FEE WORKSHEET GI I r VP I uR wu Department of Community Development - Building Division 8200 Southcenter Boulevard, Tukwila WA 98188 (206) 433.1849 THIS WORKSHEET MUST ACCOMPANY • YOUR MECHANICAL PERMIT APPLICATION. INSTRUCTIONS • Complete the worksheet, Indicating the Wunder of units being installed. in each category, multiplied by the unit cost: ..:: Then tally the subtotal column highlighted at;:; .: the bottom of the worksheet. At time of • submittal, stall will calculate the remaining lees. • DESCRIPTION UNIT COST NO. OF UNITS X TOTAL COST BASIC FEE $15.00 1 Installation or relocation of each forced -air gravity -type fumace or burner, including ducts and vents attached to such appliance, up 10 and including 100,000 Btu/h. $9.00 X , 2 Installation or relocation of each forced -air or gravity -type fumace or burner, Including ducts and vents attached to such appliance over 100,000 Btu/h. $11.00 X 3 Installation or relocation of each floor fumace, including vent. $9.00 4 Installation or relocation of each suspended heater, recessed wall heater or floor- mounted unit heater. $9.00 X S Installation, relocation or replacement of each appliance vent installed and not Included In an appliance permit. $4.50 x "r • Repair of, alteration of, or addition to each heating appliance, refrigeration unit, cooling unit, absorption unit, or each heating, cooling, absorption, or evaporative cooling system, including installation of controls regulated by this code. $9.00 X 7 Installation or relocation of each boiler or compressor to and Including three horsepower, or each absorption system to and including 100,000 Btu/h. $9,00 8 Installation or relocation of each boiler or compressor over three horsepower to and including 15 horsepower, or each absorption system over 100,000 Btu/h and including 500,000 Btu/h. $16.50 X , 9 Installation or relocation of each boiler or compressor over 15 horsepower to and including 30 horsepower, or each absorption system over 500,000 BtWh to and Including 1,750,000 Btu/h. $22.50 X 10 Installation or relocation of each boiler or compressor over 30 i horsepower to and including 50 horsepower, or for each absorption system over 1,000,000 Btu/h to and including 1,750,000 Btu /h. $33.50 x 11 Installation or relocation of each boiler or refrigeration compressor over 50 horsepower, or each absorption system over 1,750,000 Btu/h. $56.00 x • 12 Each alr- handling unit to and including 10,000 cubic feet per minute, including ducts attached thereto. (NOTE: This fee shall not apply to an air- handling unit which is a portion of a factory - assembled appliance, cooling unit, evaporative cooler or absorption unit for which a permit is required elsewhere in this code.) $6.50 X 13 Each air- handling unit over10,000 dm. $11.00 x 14 F,ach evaporative cooler other than a portable type. • $6.50 X 15 Each ventilation fan connected to a single duct. $4.50 X 16 Each ventilation system which is not a portion of any heating or ak-conditioning system authorized by a permit. $6.50 l X ., 1 3 17 Installation of each hood which Is served by mechanical exhaust, including Ms ducts for such hood. $6.50 .-> X 3 19 Installation or relocation of each commercial or industrial -type Incinerator. $11.00 X 19 Installation or relocation of each commercial or industrial -type incinerator. $45.00 x 20 Each appliance or piece of equipment regulated by the code but not classed In other appliance categories, or for which no other fee is listed in thie code. $6.50 X SUBTOTAL (unit 1N) ( `'- PLAN CHECK FEE t 1 lV `' GRAND TOTAL $ c- i 11._ INSPECTION RECORD Retain a copy with permit INSPECTION NO. CITY OF TUKWILA BUILDING DIVISION 6300 Southcenter Blvd., #100, Tukwila, WA 9818 )‚-FE -130 PERMIT NO. (206) 431 -3670 Proj om TiziA041m61 Type of inspection: f-i NAL, .( F. 71(A� Date called: _ZS • cj Special instructions: im 9:5° t ,....664,1., , ,, 1 ,oR., i,,j.:...ADvAkf Date wanted: 2 210 • qto .. Requester: DA r F .._. No.: —7102, - 9'� JJle, Approved per applicable codes. Corrections required prior to approval. COMMENTS: C +a- 1►J APPr O_ O (.- 4 ■ ►J t` t. a-wA I_- APPRovAL . 0 orA t ,A A i4E- (--1). tso_ . Inspector: { Date:_ 2G. $42.00 REINSPECTION FEE REQUIRED. Prior to inspection, fee must be paid at 6300 Southcenter Blvd., Suite 100. Cali to schedule reinspection, Receipt No,: Date: «.... e6iJ: l'r_[wy -- 'i " '9'C.W'olY.�..r ✓.ate _,� c yY.atar.ut ttla�,n:stalbe�'4` ".b. .ns..Ci.lttatai•i'.`a7. ri . •b t ytt t>i% i'r'r:i •N;, >04,i y�... ., y�A"3.0 :ri 4 =�, .,��i{'..:T' .. .r .w•.. wit r�,lt�i 'f te, .�ti�s•�?i �i r`;f •�tb��1'�wr�.. , ; :j. < • f � ,rj;i':tri� S;`1�a» H {N,�:•;; A-4 *A *A * *•k *****•4 *.**h** **k.4k4t•k•s ** ** * * *A* *E 'kA *4*'•+s:•hlk k.4 it *i•:44{•k•M4' * *k•.P4* CITY OF TUKWI :LA, WA • TRANSMIT ** AN. 4• A** A*4*4*4 ***A• k**** 4 * *;e * *k *A * *'hc4h.•klt ** *•h. *A* •k *Ak•k *A*4 * * ** * ** (•RNNSMIT • Number •94002894 Amount, 39:38 09/08/Q )5081/ 5.59 Nuyinent..Methad.e' CASH Nat;atian:: WOO BLOWER. Init :'SL13: Permit No M95- -0130 Type: B•- MECHAN MECHANICAL PERMIT Parcel Na: 5422G0•-0080 Site Address: 8001 EAST. MAROINfll.• WY S Total Fees; 39,;kQS This Payment 39.38 Total ALL Penis: 39.30 Balance: .00 hk•A *•A *A ** * *A• +** kA *k *A *•A *414A k *k ** * *k *k* *:A +Ak4* Account; Code 000/345.830 000/322.100 •Uescr i pt i an PLAN! CHECK:- ,N0NRES 'MECHANICAL - NONRES Amount 7.88 31.50 GENERA 39.38 TOTAL a 39.38 CASH 40.00 CHANGE 0.62 5994A000 15 :22' CITY OF TUKWILA Address: 8801 EAST MARGINAL. WY S Permit No: M95 -0130 Suite: Tenant: KENWORTH TRUCK COMPANY Status: ISSUED Type: B- MECHAN Applied: 08/17/1995 Parcel ` #: 542260 -0060 Issued: 09/08/1995 ***' kk• k*** k* k*• k k* k** k* k&" k• k**' k• k* k' k**• kk* k****** kk• k*** *•k** *•k•k** ***k•M * **k•k*kk*** Permit Conditions: 1 No changes will l 1 be made•to�:,,CJ).e, ? 1' is : u01:,e'ss...,.appr ' oved by the Architect or Engineer�?it the'•'Tukwi la'.�But ldit g':D.ivision: 2. All permits, incpea't�i "on r ecor,d ;, and approved plans shall be . available at the ;gob rite+ pi ior' to, t, re staktt ,,of anYj;con- struction T.hea'e dnctrme.nts :; ai^e to' bit ,ma int,a) ned and ,via i 1- able unti l.f <i;n'a1 'ins ecti'on a t, '' F r. �, , p PPr �t7va 1 i's gr•= antecl, ti . All const:ruction to.;. be done °• i'n coiiforrnance with., appr�ov'' 'plans and •:, r"egu'irje.rnetnts}of -thUniform Bui1'ding 0 d0,.(193;1=grs Ed,itionras amended,,;,Uniform eehan.ical Code "'C:1991 Editiont,; and WaSOngton State Einer ''‘,4 ` �g_v;C�de C 1'J�94 Ed i t i orn ��:_ 4. 'Valid 0 of Permit•�. Th'e,a,•Issuance of'a permit or. '•appra�'va'1 6, plansspe'o;1`fications,, and camputations shall not'be'.con- „r struedl to:- be'``'a permit-for, or/an-approval of, any violatAon of an.y of the provision' °of the bu i i d i ng code or of any ,;• other or dinance of the`'jur, isdlction y iNo'- p,.e.r,mit presuming' ..� give authority to- v:ioltate 'or,',cance.l:' »;the /p.rovisions ot. th�i`t' , code sha11 ,be.ival-id. `•' `: f= ' l''''4'.'' s `, ,•. 5, MANUFACTURERS'% INSTALLAT -I0N._? INV ?, TRUcTIQNV . REOUIRED ON S`STE``"` ''i THE 0R; EVIEk' S ; ,, FOR BUILDING' INSPECT ._. , . ,, rs: -x 6. Electrica '.l,;,perzmits1'v'ha`ll,• be,'�obt`ained; through the Washing,t,o.n!" :eta },tet Division of Labu;r,,' : nd' Industr•ie`s,;and'.el•1 elect 'i y wor wi 1�1 �,be: inispected by that a' 4, i r 41-A-szt: 447i ola Add resded:4 reasee:a�A �e G + 2 �'I Reefricted'.DelWeiy. t.Ss;•rl:'tGi.''rC'iit:';i�;a nu'as'ht ^4rftiit'.s. =Consult. dostmestertfor. =fees,. e: Nuttibe►'y'%n"�' "�t�`�.`i:i' T cu cs c 0 10 E 0 LL P 112 198 123 Receipt for Certified Mail ESTICRETURN E No Insurance Coverage Provided od 41./ Do not use for International Mail ISeo Reverse) libt COMES I/:ti, : 'rte Postage Certified Foe / • /U Special Delivery Feu Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered / /0 Return Receipt Showing to Whorn, Date, and Addressee's Address TOTAL Postage ,os o /) [ 2- J . ,rmark or Dale [/)/fa/f , /� k t e `2 ed 19-79r- 6/30• City of Tukwila FILE COPY John W. Rants, Mayor Department of Community Development Steve Lancaster, Director January 27, 1997 Dave Setera The Kenworth Trucking Company 5400 E Marginal WY. S Seattle WA. 98134 Dear Permit Holder : Lui On February 13, 1996 you were notified your permit number M95 -0130 would expire on March 06, 1996. Since February 13, 1996 our records indicate that no inspection or extension requests were made. Due to the expiration of your permit, as of January 27, 1997 this permit is now closed without the benefit of a final inspection. Any further work on the project will require a new permit application submittal and additional fees. Any new submittal will require compliance with the current edition of the Uniform Building Code. If your project has been completed please contact the permit center for proper closure procedures. A final inspection and approval will be required. If you have any questions or need further assistance please contact Kelcie Peterson at the City of Tukwila Permit Center at (206) 431 -3672 Sincerely, le.&e,ey‘ Kelcie Peterson Permit Coordinator Sent Certified mail #P 112 198 123 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 431-3670 • Fax (206) 431-3665 City of Tukwila FILE COPY John W. Rants, Mayor Feb 13, 1996 Department of Community Development Steve Lancaster, Director DAVE SETERA 5400 E MARGINAL WY S SEATTLE WA 98134 RE: KENWORTH TRUCK COMPANY Dear Permit Holder: Our records indicate that on Mar 06, 1996 one hundred and eighty days will have passed with no inspections having been called for under Tukwila Mechanical Permit Number M95 -0130. Unless you call for an inspection, or obtain a written extension from the Tukwila Building Official prior to that date, your above referenced permit will become null and void on Mar 06, 1996. If your project is complete please call for final inspection. If you are actively working on your project please contact our office. If you have any questions or need further information to obtain an extension on your permit please call the Tukwila Building Divison at 431 -3670. Sincerely, Kelcie J. Peterson Permit Coordinator Department of Community Development 6300 Southcenter Boulevard, Suite #100 • Tukwila, Washington 98188 • (206) 4313670 • Fax (206) 431.3665 City of Tukwila Fire Department Fire Department Review Control #M95 -0130 (511) John W Rants, Mayor Thomas P. Keefe, Fire Chief August 29, 1995 Re: Kenworth Truck Company - 8801 East Marginal Way South Dear Sir: The attached set of building plans have been reviewed by The Fire Prevention Bureau and are acceptable with the following concerns: 1. Provide a minimum 4A 40BC extinguisher within 30' of your spray booth. (UFC standard 10 -1) 2. Maintain sprinkler coverage per N.F.P.A. 13. Addition /relocation of walls, closets or partitions may require relocating and /or adding sprinkler heads. Sprinkler protection shall be extended to all areas where required, including all enclosed areas, below obstructions and under overhangs greater than four feet wide. (NFPA 13 -4- 4.1.3.2.1) All new sprinkler systems and all modifications to existing sprinkler systems shall have fire department review and approval of drawings prior to installation or modification. New sprinkler systems and all modifications to sprinkler systems involving more than 50 heads shall have the written approval of the W.S.R.B., Factory Mutual, Industrial Risk Insurers, Kemper or any other representative designated and /or recognized by The City of Tukwila, prior to submittal to the Tukwila Fire Prevention Bureau. No sprinkler work shall commence without approved drawings. (City Ordinance #1646) Call the Tukwila Fire Department at 575 -4407 for approval of any system shut down. Have job site address, name and the Tukwila Fire Department Job Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone: (206) 575-4404 • Fax (206) 5754439 City of Tukwila Fire Department Page number 2 John W. Rants, Mayor Thomas P. Keefe, Fire Chief Number available to confirm shut down approval. (City Ordinance #1646) This review limited to speculative tenant space only - special fire permits may be necessary' depending on detailed description of intended use. Any overlooked hazardous condition and /or violation of the adopted Fire or Building Codes does not imply approval of such condition or violation. Yours truly, The Tukwila Fire Prevention Bureau cc: T.F.D. file ncd Headquarters Station: 444 Andover Park East • Tukwila, Washington 98188 • Phone.' (206) S734404 Fait (206) 575.4413 'tom Th's.t;iwiN.: v - .. Y!:. '�tv^ �t�;:r>, ., .5 ,:'., ?:? i?ar r7�Cvcs*i3 is ;� >F`4 �,'rtt;' -• F?t:i:Y'!1 CITY OF TUKWILA Id: ROUT130 Keyword: UACT User: 1677 08/25/95 Activity document routing maintenance. MECHANICAL PERMIT Permit No: M95 -0130 Tenant: KENWORTH TRUCK COMPANY Status: PENDING Address: 8801 EAST MARGINAL WY S Route: 1 Current Route Line: 2 of 5 Packet Units Description Station Status Received Assigned Complete aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa Packet Units Action Station Initials Status Received Assigned Completed MECH 01 01 C BLDG KEN Approved 08/17/95 08/25/95 08/25/95 Priority (0 /low..9 /high): 0 Regular hours (HH.MM) : .00 Overtime Hours(HH.MM): Comments 1[PROPOSED SCOPE OF WORK TO MODIFY EXISTING PAINT BOOTH. ] 2[ 3[FIRE PLEASE REVIEW AND COMMENT. BY KEN ] 4[ ] 5[ ] 6[ 7[ 8[ 9[ 10( ] aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa ] F1 =Help, ESC =Exit current screen. 1 , , , • • , , 1.141.V1,281F,1 Wit 1,,,r,',a542ZdVMDMIAMRYIAM'.';',:', • REGISTERED* AS•PROVIDEd By LAW AS.A...::!;,q;,...! •"•:••••,';:;:. ' -'4 • TI;CONTi...AENER REGISTRATION NUMBER • n!..1 !■-•'• • • 1 1 EXIIRATION DArg . ; • • u;• "AfLOWER;iMFOaiANC '.1406'..E..MAROINAL WAY'S: AWATTLE WA 98134 SIGNATURE ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES..: